ALLEGIANT HEALTHCARE AL, LLC (NPI# 1336699511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336699511 |
| Entity Type | Organization |
| Organization Name | ALLEGIANT HEALTHCARE AL, LLC |
| Practice Address |
7255 E Broadway Rd Mesa AZ 85208-9201 |
| Mailing Address |
4711 Golf Rd Ste 200 Skokie IL 60076-1236 |
| Practice Telephone | 4809818844 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | ELIOT BERGER (MANAGER) |
| Authorized Official Telephone | 8479339280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
7255 E BROADWAY RD |
| City | MESA |
| State | AZ |
| Zip Code | 85208-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528179801 | Springdale Village, Inc. | Skilled Nursing Facility | 7255 E Broadway Rd, Mesa, AZ 85208-9201 | 2006-08-31 |
| 1790235976 | Allegiant Healthcare East, LLC | Skilled Nursing Facility | 7255 E Broadway Rd, Mesa, AZ 85208-9201 | 2016-10-11 |
| 1861875569 | Amanda Brueback | Physical Therapy Assistant | 7255 E Broadway Rd, Mesa, AZ 85208-9201 | 2015-06-30 |
| 1861622953 | Kara Lynn Wendel | Speech-Language Pathologist | 7255 E Broadway Rd, Mesa, AZ 85208-9201 | 2009-07-22 |
| 1891924478 | Therese' Marie Mullee | Physical Therapist | 7255 E Broadway Rd, Mesa, AZ 85208-9201 | 2009-07-05 |
| 1801021332 | Nohora Liliana Rodriguez | Physical Therapist | 7255 E Broadway Rd, Mesa, AZ 85208-9201 | 2009-05-28 |
| 1699913160 | Renaissance Village Al, LLC D/b/a Springdale Village Assisted Living | Assisted Living Facility | 7255 E Broadway Rd, Mesa, AZ 85208-9201 | 2009-01-21 |
| 1013166602 | Renaissance East, LLC | Skilled Nursing Facility | 7255 E Broadway Rd, Mesa, AZ 85208-9201 | 2008-09-18 |
| 1831376466 | Ronda Diane Polesky | Speech-Language Pathologist | 7255 E Broadway Rd, Mesa, AZ 85208-9201 | 2008-01-25 |
| 1790984797 | Lea Caroline Bevill | Physical Therapist | 7255 E Broadway Rd, Mesa, AZ 85208-9201 | 2007-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1083116529 | Hailey Jo Kools | Specialist/Technologist | 11201 N Tatum Boulevard, Phoenix, AZ 85208 | 2018-03-01 |
| 1356881486 | Amber E Anderson | Nurse Practitioner | 1157 S Crismon Rd Ste 101, Mesa, AZ 85208 | 2017-03-08 |
| 1609264464 | Desert House Assisted Living LLC | Assisted Living Facility | 11055 E Grove St, Mesa, AZ 85208 | 2015-01-02 |
| 1366881872 | Freedom Az, LLC | Non-emergency Medical Transport (VAN) | 10682 E Oasis Dr, Mesa, AZ 85208 | 2013-06-18 |
| 1588922884 | Aaron David Hallstrom | Counselor | 158 S Hassett Cir, Mesa, AZ 85208 | 2012-04-25 |
| 1568604593 | David Berrey | Internal Medicine | 1917 South Crismon Rd., Mesa, AZ 85208 | 2009-04-06 |
| 1740475946 | Jackton Simiyu Khausi | Occupational Therapist | 7255 E Broadway, Mesa, AZ 85208 | 2007-09-11 |
| 1881896900 | Kate N Mullowney | Pharmacist | 10238 E Hampton Avenue, Suite 107, Mesa, AZ 85208 | 2007-06-01 |
| Find all providers in zip 85208 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586664 | Sunland Springs Memory Care, LLC | Assisted Living Facility | 2415 S Signal Butte Rd, Mesa, AZ 85209-2107 | 2020-10-21 |
| 1487253860 | Ronald Jingco Calaguas | Assisted Living Facility | 2432 W Portobello Ave, Mesa, AZ 85202-7871 | 2020-10-18 |
| 1851905038 | A Helping Hand Care Home | Assisted Living Facility | 847 E Glade Ave, Mesa, AZ 85204-5813 | 2020-09-03 |
| 1699301341 | Arizona Home Care Spectrum Solutions II LLC | Assisted Living Facility | 8129 E Fountain St, Mesa, AZ 85207-4915 | 2020-03-13 |
| 1043858673 | Loving Hearts Assisted Living LLC | Assisted Living Facility | 1714 S Linda, Mesa, AZ 85204-7109 | 2019-12-13 |
| 1487203543 | Heritage Village Bldg 7 | Assisted Living Facility | 8035 E Brown Rd Bldg 7, Mesa, AZ 85207-3902 | 2019-09-10 |
| 1982253043 | Heritage Village Bldg 8 LLC | Assisted Living Facility | 8035 E Brown Rd Bldg 8, Mesa, AZ 85207-3902 | 2019-09-10 |
| 1487200481 | Royalty Home Care Solutions, LLC | Assisted Living Facility | 6551 E. Menlo St, Mesa, AZ 85215 | 2019-08-15 |
| 1386101822 | Assisted Senior Living Care, LLC | Assisted Living Facility | 4149 E Greenway Cir, Mesa, AZ 85205-4036 | 2019-02-20 |
| 1851803993 | Arizona Community Assisted Living Home, LLC. | Assisted Living Facility | 9952 E Butte St, Mesa, AZ 85207-8016 | 2017-10-30 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.